[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100627187":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":25,"centralContacts":30,"locations":36,"responsibleParty":50,"collaborators":25,"id":54,"slug":55,"hasResults":56,"nctId":57,"briefTitle":58,"officialTitle":59,"acronym":25,"eligibilityCriteria":60,"healthyVolunteers":56,"sex":61,"minAge":62,"maxAge":63,"enrollmentInfo":64,"targetDuration":25,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":25,"overallStatus":73,"whyStopped":25,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":83},{"fullName":5,"class":6},"Khyber Teaching Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Group A","EXPERIMENTAL","Group A will be monitored using the WHO Labour Care Guide (LCG) for Intrapartum assessment and clinical decision-making from the active phase of labour until delivery.",[13],"Other: Group A (Intervention Arm): Monitoring with WHO Labour Care Guide)",{"label":15,"type":16,"description":17,"interventionNames":18},"Group B","ACTIVE_COMPARATOR","group B will be monitored using the WHO Modified Partograph for documentation and assessment of labor progress, maternal condition, and fetal well-being until delivery.",[19],"Other: Group B (Control Arm): Monitoring with Standard WHO Partograph)",[21,26],{"type":6,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"Group A (Intervention Arm): Monitoring with WHO Labour Care Guide)","Group A (Intervention Arm): Monitoring with WHO Labour Care Guide) Women randomized to Group A will be monitored using the World Health Organization Labour Care Guide (LCG) as the intrapartum monitoring tool.\n\nThe LCG incorporates evidence-based, individualized labour progress thresholds and emphasizes comprehensive maternal and fetal assessment. The following parameters will be recorded at recommended intervals:\n\nCervical dilatation and labour progress Fetal heart rate Uterine contractions Maternal vital signs (pulse, blood pressure, temperature) Assessment of amniotic fluid Supportive care measures (oral intake, mobility, pain relief) Respectful maternity care indicators Clinical reassessment prompts embedded within the LCG will guide decision-making. No traditional alert or action lines will be used; instead, management will be individualized based on dynamic clinical assessment.",[9],null,{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Group B (Control Arm): Monitoring with Standard WHO Partograph)","Women randomized to Group B will be monitored using the standard WHO-modified partograph as the intrapartum monitoring tool.\n\nThe partograph will include:\n\nCervical dilatation plotted against time Fetal heart rate monitoring Uterine contractions Maternal vital signs Status of membranes and liquor Labour progress will be assessed using the traditional alert and action lines, and clinical decisions (augmentation or operative intervention) will be taken according to institutional protocol based on partographic findings.",[15],[31],{"name":32,"role":33,"phone":34,"phoneExt":25,"email":35},"Dr Roshni Mumtaz, MBBS","CONTACT","+923333765884","roshnimumtaz1234@gmail.com",[37],{"facility":38,"status":25,"city":39,"state":40,"zip":41,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":25},"Khyber teacher hospital","Peshawar","Khyber Pakhtunkhwa","25000","Pakistan","PK",{"type":45,"coordinates":46},"Point",[47,48],71.57849,34.008,{"lat":48,"lon":47},{"type":51,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Roshni Mumtaz","Training medical officer(i-e 2nd year resident )","100627187","role-of-the-who-labour-care-guide-in-improving-maternal-and-fetal-outcomes-100627187",false,"NCT07445373","Role of the WHO Labour Care Guide in Improving Maternal and Fetal Outcomes","Role of WHO Labour Care Guide in Improving Maternal and Fetal Outcomes in Primi and Multigravida in Labour","Inclusion Criteria:\n\n* patient aged 20 to 40 years .\n* gestational age 37 to 42 weeks as per LMP.\n* parity UpTo 4\n* singketon pregnancy on ultrasound\n* patient presenating In labor as per operational definitons\n\nExclusion Criteria:\n\n* patients with breech presenation\n* pregnant women in whom trial of labor given outside the hospital,\n* women with complications like gestational diabetes,antepartum hemorrhage,severe preeclampsia\u002Feclampsia and medical disorders complicating the pregnancy\n* premature rupture of membranes","FEMALE","20 Years","40 Years",{"count":65,"type":66},114,"ESTIMATED","INTERVENTIONAL",[69],"NA","The goal of this randomized controlled trial is to compare the effectiveness of WHO labour care guide (LCG) with the WHO modified partogragh in improving the maternal and fetal outcomes among primigravida and multigravida in active labour .the study evaluates whether use of the Labour care guide leads to improved labour monitoring ,timely clinical decision making and better maternal and neonatal outcomes .this study will answer either of the two questions that is\n\n* There is no difference in maternal and fetal outcomes between women monitored with Wo labour care guide (LCG) and those monitored with the Modified Partogragh\n* There is a difference in maternal and fetal outcomes between women monitored with the WHO Labour care guide (LCG) and those monitored the modified Partogragh .",[72],"Labor and Delivery","NOT_YET_RECRUITING","2026-02-25",{"date":76,"type":77},"2026-03-03","ACTUAL",{"date":79,"type":66},"2026-12",{"date":81,"type":66},"2027-06",{"name":5,"class":6},1]